PSA Testing

Prostate health is an important but often overlooked aspect of men’s wellbeing, particularly as we age. One of the most commonly discussed tools in prostate assessment is the PSA (Prostate-Specific Antigen) test. At Witcombe Health, we believe in empowering patients with clear, balanced information to help you make informed decisions about your health.

What is a PSA Test?

Our GP Assistant Charley will take a simple blood test that measures the level of prostate-specific antigen in your blood. PSA is a protein produced by the prostate gland, and small amounts are normally present in all men.

Higher-than-expected PSA levels can be associated with:

• Prostate cancer
• Benign prostate enlargement (BPH)
• Prostatitis (inflammation or infection)
• Recent exercise, ejaculation, or medical procedures affecting the prostate

It’s important to understand that a raised PSA level does not automatically mean cancer.

Who Should Consider a PSA Test?

There is no “one-size-fits-all” rule, but PSA testing is often considered for:

• Men aged 50 and over
• Men aged 45 and over with risk factors, such as:
  • A family history of prostate cancer
  • Black African or Black Caribbean heritage
• Men with urinary symptoms, including:
  • Difficulty starting or stopping urination
  • Weak urine flow
  • Frequent urination, especially at night

Benefits of PSA Testing

PSA testing can:

• Help detect prostate cancer at an early stage
• Provide reassurance if results are normal
• Enable timely monitoring of prostate health

Early detection may improve treatment outcomes, particularly in aggressive forms of prostate cancer.

Limitations and Considerations

While PSA testing is useful, it is not perfect:

• False positives: PSA may be raised for non-cancerous reasons, leading to worry or further tests.
• False negatives: Some prostate cancers do not produce much PSA.
• Overdiagnosis: Some detected cancers may never cause harm but could still lead to treatment.

For this reason, PSA testing is best approached as part of a broader discussion—not as a standalone diagnostic tool, our team of GP's can support with further appointments and testing.

What Happens After a PSA Test?

If your PSA level is raised, we may recommend:

• Repeating the test to confirm results
• Additional blood tests or imaging
• Referral to a urology specialist if needed

Our clinicians will guide you through each step, ensuring you understand your results and options clearly.

Preparing for a PSA Test

To help ensure accurate results, you may be advised to:

• Avoid vigorous exercise (especially cycling) for 48 hours beforehand
• Avoid ejaculation for 48 hours prior
• Inform your GP about any urinary symptoms or medications

We will provide tailored advice prior to your appointment.

PSA Testing at Witcombe Health

At Witcombe Health Private GP Practice, we provide:

• Same-day or rapid-access appointments
• Comprehensive prostate health assessments
• Clear, unhurried discussions about your results
• Ongoing monitoring and specialist referrals if needed

We understand that discussing prostate health can feel sensitive, and our team is committed to delivering discreet, supportive care.

Take Control of Your Health

Prostate health matters—and early conversations can make a real difference. If you’re unsure whether a PSA test is right for you, we encourage you to book a simple telephone consultation with one of our experienced GPs

Contact Witcombe Health today to discuss your prostate health and arrange a PSA test if appropriate.